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HomeMy WebLinkAbout0725 - - ~ ~~.30 9 ~ dc ay, . Y . 19~`764 ~ ~ - r ; _ - . :si. ti._ arwTC .o~ o~ aew«t CERTIF[CATE OF DEATH ' eoa~s • oURGY OF YITAL fTATIQ!!GY fTATi RI{.[ NO l.a~l ~.e- FLO$IDA ~ ord re~a BIRTH NO. R G 6TRAR•6 O. peop~rl~ 1. MLAC[ OI Ot/1TM COOi !!Q 2. YiYAL wtNKNC[(~M.Mrdliwt. //i..Kwi~: t~i/.r.hRa~~i:..i~ •:~eYNI ~ a STATE CWM~Tf ap~ •111 , 1~ ~l~e~~ !s I~i- GTr. T01RM. t. t5 ?IACE OF OEA ~ dTY. 70w11011 WCATION t, K IIESIOENCE a~~ast tt~OE CRY LIM~TSf . p~StOEp G~T11 twRS1 t~l~. YES NO? Y[fyy MO? . 1. MAYE Of (!f Mf h~Myihl.l+f ~E?sM Mft~) tENGTN Oi 1. STltEET AOOIIESi ON A/Al1Yt l106MTAl OII AY 41 1~ INSTITYTION Y[3 ? M~ ~ J. w?irc oI Fb~t ~/JMte IwM 1. a?TE Xwtl Dy YNr • . O[C[AKY OF cr.a. «r•+•n GLE.'~1:d HAROLD WHIT,~TEY ~"TM MAeti:ri i 1 S. scx i. oac~ oR iuCC 7. wuu~EO $J ~rc~ wuu~EO a?TC as wn~ ~GE ch rer, s aoa ~ rue uson b~t : t.~e ww.~) ~r..~. o... r.~w xr.. ~ ~ i~• x w ~noowco o orvoac~e Maar. 1 y~•i•~ y {0~. u5uu OCCW~TqN (Oiwe tid Nw?k f~ae ae. rcwo oF wsu+css o~ wa,srnr n. win~ucE ta.a wp?r+n ow.ur) ~ a~u as.wr ao~.m~,n .iss p•r- ssrbl~wtNwrtt~I6k.ani/i¢irsn ¦~A~O~ ENGINffit MARINE - CI~VELAND OHIO USA - llaelc l~k 13. fATtlFJt'S NAME ' 1~. MOTMEiI'S MMDE11 ?Y?NE •e en~~r~s~~ CHARLFS WHITNE.R MARTHA KECK ' ~s. rns ocwsco cvc~ w u. s~«co ,ancES, ~t. waK sccu~ur,? ~a. n. s aow?n~ Helen Nttlitne ~r........~R....? u~.«..:........w ~/....:w . - Y . w~as,s FT. P C . rm.r.i t~?usi or ourw tara..?s..s a~.... ya tu~sp. c.). ce). w ~a.) ~wraivK ~cnrcrx oKSEr ~wo ocnrn air•~ser ~~T~ ou?n~wwsuusEOnr= ~]mOri ml t1 sema Several Years .~.t tii• wraou~ cwsc ~ t~~ e~~- ~ cina.s. t~~,,, Ci aret 5~?oke - Years I .zei et• ~iy~ 1 e e w 1 r~aiste~r cu~ lwt. ouE To (e) j ~ithlr 70 = ~ ~•~.r s s r- o rruT •r. o~a sasiuurt oo~ar~o.s cwrrwrtwa m ourn wa Mar imn~m rnc taw.n oer~sE oaana ~ w ra~r Ku - w~s ~uTO~sr + ~ s~r A~~tY s ? ~ •r l~t~r• ..ki. j..~ F ao.. ~ aoe. ocseauc ~wi. wwir oauu~a c~+ro w..• yw.., a. pwe,.. ri.e u y~r~. ua ?aiocnr w~uoc • ~KUE '~p~~f V ? ? ? o~ •f ' ~ nyE os N~rr Xw~t~, p/. Ytr i ~ . 1•a~. ~ ~wu~r - - 9 'c s~ W z 2oI. wwar ooai~uce mr. naee ov uw~r lr. is .r a~..e b.s. ~D/. emr. runr. o+e wuraN oowmr ' sr~rt 11M~LE AT ~ II~T YrNLLE ~ ~~.~MI. rbM. ~~4t 01I/-. dt.) MIOUK AT MiO1lK ~ 21• / ~tbed~d tly d~wl /rom J11I1E ~ ~ 3 . to M3I'CZ'1 ~nd /wt ww ~lir~ on •.c'~T'C DwtA ooeu~nd ~t '~OOII a~ on tM d~b ~t~Nd ~Dw~: ~nd to t!N bwt o/ aq ~no~HdN. lrom th~ uuw ~bt~d. } •i i- i s•rs n.. siaunuic .(nrw.~ n?rs) ~oo~~ tts. wTC s~cc ~ .r• e• ~..ri.c. a FY~ancis J. Carbonara, H.D. _ 503 N. 7th. Street 3 30.64 ~Ofl~f~t~. 23~- MJnuL. QEIUilOil Z~D- OATE 2~[. NAME Oi CEMETEIIY OR CREMATORY T3/. IOCATION IGY/. fwn. M tMt~(/'I ~~ft) 3-19-64 FT. PIF.FtCE CEi~'TERY FT. PIERCE, FLOP.IDA r. s. ieis u. s s+rauru~ ~ ts. wrE ~cca ~r wc~ ~co. ti. ~aarws s~cw?ru~ a...~oas ;~ilton W. Baird Ft. PIERCE,FLA. 3 31-Gla Anna Lee Denison, d.r. i~~Y ~ffY thk to bs a true ~nd aorrrxt copy aF the tmsl . _ Repish~rs reoord on file in ths St. ~uci~ Counry H~atstt De~ItoEO ANO RECORDE~~' _ :msm ~t Fort Pience, Flortda. . ST. LUCIE COUNTY. ~LA. _ R~~VER1FiED - : ~1Muning: Not valtd unless raisa! seel of the St. L,uct~ N"-C O - ~f-;~'; Counry tlealth Oepartmer~t is affixed.) 194~~~4 • ' ~ N ~ 17 AN 10 : 0 ~ ~ ~ : *~0 JU ~ N. D. AAIIIER, M. D. G~?~ ~ . • County Health Off7cer ~ Loa! RmpktraF~~6~'~ U ~ - ~ - . R(?GE~' POt7R:.S - % , ~ ~r.~2 6 . /~10 ~ ; . RK CIRCUIT COUR~' ,~c ~ 4~ + ~y~y ,u ; ~Cf' s ~J'4 +s~~a G- ~ ~ ~ 1 ~r'7 iR/{ia' ~A1,~ ' . i ~~x. ~ , . W~~~~` ~ , ,'~~~~_.,1 +'..w• ,~ii' • - ~ ~ ~ ~ dOOK 1$5 PACE - _ - _ti - - _ = - t-~:~ -c~_„_ _ I ~ _